Macroeconomics : analysis and policy / James L. Cochrane, Samuel Gubins, B.F. Kiker

• Record Nr.: UNINA990006272190403321
• Autore: Cochrane, James L.
• Pubbl/distr/stampa: Glenview, Brighton : Scott, , 1974
• Descrizione fisica: 398 p. ; 24 cm
• Disciplina: 339.3
• Locazione: FGBC
• Collocazione: XV B 463
• Lingua di pubblicazione: Non definito
• Formato: Materiale a stampa
• Livello bibliografico: Monografia

Legal Language and Business Communication / / by Anurag K. Agarwal

• Record Nr.: UNINA9910350208903321
• Autore: Agarwal Anurag K
• Pubbl/distr/stampa: Singapore : , : Springer Nature Singapore : , : Imprint : Palgrave Macmillan, , 2019
• ISBN: 9789811375347; 9811375348
• Edizione: [1st ed. 2019.]
• Descrizione fisica: 1 online resource (XII, 204 p.)
• Disciplina: 659.2
• Soggetti: Communication in organizations; Law; Strategic planning; Leadership; School management and organization; Commercial law; Corporate Communication; Business Strategy and Leadership; Organization and Leadership; Business Law
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Nota di contenuto: 1. Loose Lips Sink Ships -- 2. What's the Good Word? -- 3. Should a Business Leader Talk Like a Lawyer or a Judge? -- 4. It's All Greek to Me -- 5. Read My Lips! -- 6. Man Is a Social Animal -- 7. Speech Is Silver, Silence Is Golden.
• Sommario/riassunto: The book discusses the proper usage of legal language in business communication. While communicating, a business leader has to take care of the legal periphery which he should never transgress. However, legal language in itself can be so complex and difficult that it is many a time unclear as to what meaning can be ascribed to different words and phrases used in a particular context. Also, it is easier to say that there is a boundary of law, but such a limit is not easily perceivable to the uninitiated. Occasionally, even experts flounder. The book explores such topics. It is surely going to be of interest to students of business and law, business communication, managers, lawyers, researchers, practitioners, and readers in general.

Functional Reconstruction of the Female Urinary Tract and Gynaeco-Urology

• Record Nr.: UNINA9911019360103321
• Autore: Chapple Christopher R
• Pubbl/distr/stampa: Newark : , : John Wiley & Sons, Incorporated, , 2025; ©2025
• ISBN: 1-119-83988-2; 1-119-83990-4; 1-119-83989-0
• Edizione: [2nd ed.]
• Descrizione fisica: 1 online resource (655 pages)
• Altri autori (Persone): OsmanNadir I; Turner-WarwickRichard T
• Disciplina: 617.462
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Nota di contenuto: Cover -- Title Page -- Copyright Page -- Dedication -- „Contents -- Richard T Turner-Warwick CBE (1925-.2020) -- Acknowledgement of the Robert Luff Foundation -- Acknowledgements -- Prologue (Reproduced from the First Edition) -- Chapter 1 An Overview of the Principles, the Art and the Philosophy of Functional Reconstruction of the Urinary Tract -- 1.1 The Traditional Boundaries of Surgical Disciplines and the Development of Regional Specialities -- 1.2 The Range of Sub-Specialisation Within Urological Surgery -- 1.3 Reconstructive Surgery: The Added Dimension Involved in Functional Restoration -- 1.3.1 'Structural' Reconstructions That Simply Preserve the Normal Intrinsic Function -- 1.3.2 'Functional' Reconstructions That Endeavour to Improve an Intrinsic Functional Deficiency -- 1.3.3 Reconstructive Urological Surgery and Gynaeco-urology -- 1.4 Objective Urodynamic Evaluation.- The Key to the Success of Functional Reconstruction of the Urinary Tract -- 1.5 Surgical Understanding of Urinary Tract Function and Dysfunction -- 1.6 The Emergence of Functional Reconstruction From Anatomically Based Urological Surgery -- 1.7 'Right Ways' and Less Good Ways.- 'Right Reasoning' and Wrong Reasoning -- 1.7.1 Right Reasoning and Wrong Reasoning -- 1.7.2 ; 'Old' Operations and 'New' Operations -- 1.8 The Relative Complexities of Functional Reconstructions of the Upper and Lower Urinary Tract -- 1.8.1 Reconstructive Restoration of the Upper Urinary Tract Function -- 1.8.2 Reconstructive Restoration of the Female Lower Urinary Tract Function -- 1.8.3 Reconstructive Restoration of the Male Lower Urinary Tract Function -- 1.9 Sub-specialist Training and Functional Reconstruction of the Female Lower Urinary Tract - Gynaeco-urology and Uro-gynaecology -- 1.9.1 Uro-gynaecology -- 1.9.2 Female Urology „(What This Book Is All About).; 1.9.3 Pelvic Surgery -- 1.10 The 'Right' Surgeon for the 'Right' Job -- 1.10.1 Who Are the 'Right' Surgeons to Treat Stress Incontinence? -- 1.10.2 Who Are the 'Right' Surgeons for the Repair of Vaginal Fistulae? -- 1.10.3 Who Are the 'Right' Surgeons to Treat 'Complex' Lower Urinary Tract Disorders? -- 1.10.4 The Needs of the Future -- 1.11 The TITBAPIT - 'Take It to Bits and Put It Together' Principle of Reconstructive Surgery -- 1.12 Tissue Healing - The Critical Factor in All Surgical Reconstructions -- 1.12.1 Prophylactic Antibiotics -- 1.12.2 Tissue Interposition -- 1.13 Achieving the Maximum Potential of Functional Reconstruction - Often 'Nothing Ventured Is Nothing Gained' - And the Principle of Facilitating a.Retrieval Procedure -- 1.13.1 The Principle of Facilitating a 'Retreat' Procedure -- 1.14 Good Practice, Humility and Patient Referral -- 1.15 Tertiary Referral Centres of’Special Experience -- 1.16 The Practicalities and the Logistics of Specialisation in Functional Urological Surgery -- 1.16.1 The Time Factor -- 1.16.2 The Importance of a 'Protected' Working Environment -- 1.17 The Specialising Reconstructive Urological Team - Video-Urodynamic Evaluation Anaesthesiological Expertise and Appropriate Instrumentation -- 1.18 The Pitfall of 'Unrealistic Patient Expectations' - And the Importance of Meaningful Patient Communication -- 1.18.1 Meaningful Patient Communication -- 1.19 Should Patients 'Consent' to a Procedure - Or Should They 'Request' It? -- 1.20 Glossary, Eponyms and Acronyms.- The Value of Words -- 1.20.1 'The Importance of Effective Communication in Medicine' -- 1.20.2 Eponyms -- 1.20.3 Acronyms -- 1.21 'Guidance Lines' - The Use and the Abuse of 'Guidelines' and 'Evidence-based Medicine' - The 'Best Obtainable Practice' or the 'Best Affordable Practice'?.; 1.21.1 What Is the Purpose of 'Guidelines' and Would Some Be Better Called 'Guidance Lines'? -- 1.21.2 Evidence-based Medicine and 'Best Practice' -- Chapter 2 Some Basic Principles, Procedures, Instruments and Techniques -- 2.1 Magnification and Micro-surgery -- 2.2 Tissue Handling and Surgical Technique -- 2.3 Tissue Forceps -- 2.4 The Skin-fold Test of Gentle Tissue Forceps and the Shortcomings of Allis Forceps -- 2.4.1 Pick-up Forceps -- 2.4.2 Skin-hooks -- 2.5 Stay-sutures -- 2.5.1 Isometric Stay-suture Retraction -- 2.5.2 Isotonic Stay-suture Retraction -- 2.6 Instruments and Instrumentation -- 2.7 Illumination -- 2.8 Headlights -- 2.9 Flexible Sucker Connecting Tubing -- 2.10 The Turner-Warwick Diathermy Instrument System -- 2.11 Diathermy Forceps and Techniques -- 2.12 The T-W Diathermy Scissors -- 2.13 Diathermy Scissor Techniques -- Sutures and Suturing -- 2.14 The Turner-Warwick Needle-holder -- 2.15 Hand-resting the T-W Needle-holder -- 2.16 The Special Value of the Combined Use of the T-W Needle-holder and the Fibre-light Sucker -- 2.17 The Parkhouse Needle-holder -- 2.18 Needle Dimensions and Selection -- 2.19 1/2 and 5/8 Circle Needles -- 2.20 Needle 'Feed-round' -- 2.21 Chambers Spoon-shaped Needles -- 2.22 Knots - On the Lumen -- 2.23 Sutures: Interrupted, Continuous or 'Interrupted Short Runs' -- The Control of Bleeding -- 2.24 'Anaesthesiological' Haemostasis -- Hypotension and Bradycardia -- 2.25 Sectorisation-; haemostasis with the Combination of Retraction-packs and Fibre-light Suction -- 2.26 The Prevention of 'Dead Space' Accumulations -- 2.27 Dead-space Occlusion by Tamponade -- 2.28 Omental Tamponade -- 2.29 Definitive Vesico-omental Tamponade -- 2.30 The Tamponade Control of Intractable Intra-vesical Bleeding by Temporary Suture-occlusion of the Bladder Lumen -- 2.30.1 Operative Procedure.; 2.31 A Removable Tamponade Pack in the Pelvic Area -- 2.32 Wound Drainage and Duration -- 2.33 Passive and Active Drains -- 2.34 Suction Drains - And Tissue 'Suck-in' -- 2.35 The Accurate Location of Drainage Tubes by the Hinman Loop-retention Suture -- 2.36 The Closure of a Midline Abdominal Incision -- 2.37 The Release of an Accidentally Stitch-retained Drainage Tube with the Optical Urethrotome -- 2.38 Surgical Closure and the Prevention of Subcutaneous 'Dead Space' Accumulations -- 2.39 Occlusive Subcutaneous Suturing -- 2.40 The Single-bite Subcutaneous 'Dimple Suture' -- 2.41 The Double-bite 'Dimple Suture' -- 2.42 The Subdermal Suture -- 2.43 Pressure Dressings - Elastic-net Knickers and Dressing Retention -- Catheters and Catheter Drainage -- 2.44 Some Principles of Catheter Drainage and Urine Collection -- 2.45 The Size of an Indwelling Catheter -- 2.45.1 Lumen Size and Wall Thickness -- 2.45.2 Considerations Relating to External Calibre of an Indwelling Urethral Catheter -- 2.46 Fenestrated Catheters -- 2.47 Simple Techniques for the Fenestration of Catheters -- 2.48 The Shortcomings and Complications of Large Calibre Uri-bag Connecting Tubing -- 2.49 The Advantages of Small Calibre Uri-bag Connecting Tubing -- 2.50 The Rational Sizing of Uri-bag Connecting Tubes -- 2.51 The Small-bore Collecting Tube Substitute-connector -- 2.52 A Simple DIY Small-bore Substitute Connecting Tube -- 2.53 The Duration of Catheter Drainage -- 2.54 Balloon Retention of Catheters and Balloon Size -- 2.55 The Deflation of Catheter Balloons -- 2.56 Potential Complications From the Balloon Retention of Catheters -- 2.57 Sling-suture Retention of Urethral Catheters -- 2.58 Sling-stitch Retention by Crush Button or Tubing Stop? -- 2.59 Supra-pubic Catheter Drainage and the 'Yo-Yo' Urethral Catheter.; 2.60 Selecting the Appropriate Size of.a Supra-pubic Catheter -- 2.61 Positioning the Tip of a Supra-pubic Catheter -- 2.62 The Retention of Supra-pubic Catheters -- 2.63 The Intra-vesical Retention of a Supra-pubic Catheter -- 2.64 Wing-retained Malecot-type Catheters -- 2.65 The Percutaneous Surface Retention of Catheters -- 2.66 The Double Skin-stitch Catheter Retaining Suture -- 2.67 The Adhesive-strip Skin-surface Retention of Supra-pubic Catheters -- 2.68 Avoiding the Traditional Slit-sided Circumferential Catheter Dressing -- 2.69 The Retention of Catheters in the Paediatric and Geriatric Age Groups -- 2.70 The Percutaneous Insertion of.Supra-pubic Catheters -- 2.71 The 'External' Percutaneous Catheter Introducers -- 2.72 Campbell's Slit-cannula Catheter introducer -- 2.73 The Lawrence Disposable Slit-cannula 'Add-a-cath' Introducer -- 2.74 The Per-operative Forceps Catheter 'Pull-in' Procedure -- 2.75 The Preliminary Abdominal Wall Pull-through of a Foley Catheter -- 2.76 Urethral Dilators and Sling-stitch Introducers -- 2.77 The Synchronous 'Pull-in' of Both a Supra-pubic Catheter and a Urethral Catheter Sling-suture -- 2.78 Catheter Encrustation and Catheter-change Intervals -- 2.79 Changing a Supra-pubic Catheter -- 2.80 The First Change of a Supra-pubic Catheter -- 2.81 Up-sizing a Supra-pubic Catheter -- 2.82 Up-sizing a Supra-pubic Catheter Track with a Guide-wire and Dilators -- 2.83 Recalibration of a Fibrotic Supra-pubic Catheter Track with the Otis Urethrotome -- 2.84 Supra-pubic Cystoscopy -- Chapter 3 Surgical Access to the Urinary Tract -- 3.1 Principles -- 3.2 Preparation and ; Shaving -- 3.3 The Approach to Pelvic Surgery - Perineal or Abdominal? -- 3.4 The Flat Lithotomy Position -- 3.5 The Principle of the Perineo-abdominal Progression Approach (PAPA).; 3.6 The Perineo-abdominal Progression Approach Position.
• Sommario/riassunto: Overview of female urological reconstructive surgery with illustrations, photographs, and diagrams spanning all surgical procedures in the field Functional Reconstruction of the Female Urinary Tract and Gynaeco-Urology is a comprehensive reference text encompassing the entire field of reconstructive female urology, delivering in-depth knowledge of structure, function, and dysfunction of the female urinary tract and imparting a thorough understanding of the principles of urodynamics related to lower urinary tract reconstruction. In this Second Edition, authors Christopher Chapple and Nadir Osman have retained many of the original descriptions from the first edition in tribute to the work of Richard Turner-Warwick, who is considered the father of functional urological reconstruction in the United Kingdom. Where appropriate, the text and comments have been updated to reflect developments in the field. In Functional Reconstruction of the Female Urinary Tract and Gynaeco-Urology , readers will find: Detailed descriptions of surgical principles and procedures with 1600 colour illustrations based on original drawings by Paul Richardson. "Tricks of the trade", "pearls of wisdom", and other original concepts related to the field. The principles, art, and philosophy of surgery, as well as details on instruments and surgical access to the urinary tract. Information on surgical management of conditions that a specialist surgeon working in this field will encounter in their clinical practice. Functional Reconstruction of the Female Urinary Tract and Gynaeco-Urology is an essential one-of-a-kind reference for surgeons at any level of practice, regardless of training or experience. The text is also valuable for advanced students in related programmes of study.

Begleitung und Versorgung von Menschen mit Demenz nach Silviahemmet : Wie Leben mit Demenz gelingen kann

• Record Nr.: UNINA9911046616203321
• Autore: Sottong Ursula
• Pubbl/distr/stampa: Stuttgart : , : Kohlhammer Verlag, , 2021; ©2021
• ISBN: 9783170395893; 9783170395886
• Edizione: [1st ed.]
• Descrizione fisica: 1 online resource (198 pages)
• Soggetti: Pflege; Demenz; Palliative treatment
• Lingua di pubblicazione: Tedesco
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: PublicationDate: 20211117
• Nota di contenuto: Deckblatt -- Titelseite -- Impressum -- Vorwort -- Inhalt -- Vorwort -- Inhalt -- 1 Einführung -- 1.1 Menschen wie du und ich -- 1.2 Teilhabe und Selbstbestimmung trotz Demenz -- 1.3 Demenz und Alter -- 1.4 Demenz und Lebensqualität -- 1.5 Demenz, Palliative Care und Silviahemmet -- 2 Silviahemmet -- 2.1 Palliative Care - Effekte -- 2.2 Silviahemmet - Ziele -- 2.3 Die vier Säulen der Arbeit -- 2.3.1 Symptomkontrolle/person centered care -- 2.3.2 Kommunikation und Begegnung -- 2.3.3 Unterstützung der Angehörigen -- 2.3.4 Team -- 2.4 Schulungen und Weiterbildungen -- 2.4.1 Aufbau der Ausbildung -- 2.5 Zertifizierung durch Silviahemmet -- 2.6 Svenskt Demenscentrum -- 2.7 Silviahemmet international -- 2.8 Tagespflege und SilviaBo -- 3 Medizinische Grundlagen -- 3.1 Die oberste Schaltzentrale - Das zentrale Nervensystem -- 3.1.1 Das Großhirn und seine Funktionen -- 3.1.2 Das Zwischenhirn -- 3.1.3 Das Limbische System -- 3.1.4 Der Hirnstamm -- 3.1.5 Die Nervenzellen und ihr Informationssystem -- 4 Altersphänomene -- 5 Demenz -- 5.1 Exkurs: Kognition -- 5.2 Demenzformen -- 5.2.1 Alzheimer-Demenz -- 5.2.2 Frontotemporale/Frontallappen-Demenz -- 5.2.3 Parkinson-Demenz -- 5.2.4 Lewy-body-Demenz -- 5.2.5 Gefäßbedingte (vaskuläre) ; Demenz -- 5.3 Demenzdiagnostik -- 5.4 Bedeutung der hausärztlichen Versorgung -- 5.5 Therapie -- 5.5.1 Nicht-medikamentöse Maßnahmen -- 5.5.2 Medikamentöse Maßnahmen -- 6 Typische Demenzsymptome und deren Bewältigung -- 6.1 Kognitive Symptome -- 6.1.1 Gedächtnis -- 6.1.2 Orientierungsvermögen -- 6.1.3 Sprache -- 6.1.4 Rechnen -- 6.1.5 Geistige Fähigkeiten, Aufmerksamkeit, Urteilsvermögen -- 6.2 Exekutive Fähigkeiten -- 6.3 Apraxie -- 6.4 Agnosie -- 6.5 Psychiatrische Symptome -- 6.6 Körperliche Symptome -- 6.6.1 Inkontinenz -- 6.6.2 Steifigkeit und Muskelzuckungen -- 7 Herausfordernde Verhaltensweisen - Wer fordert wen heraus?.; 7.1 Nichts geschieht ohne Grund -- 7.1.1 Medizinische/pflegerische Aspekte -- 7.1.2 Kommunikationsprobleme und subjektiv erlebte Kränkungen -- 7.1.3 Umfeld: Wohnumgebung, Umgebungs-/ Ortswechsel, Geräusch-/Lärmpegel -- 7.1.4 Eingeschränkte Mobilität und Freiheitseinschränkungen -- 7.2 Weitere Auslöser -- 7.3 Therapie -- 7.3.1 Nicht-medikamentöse Therapie -- 7.3.2 Medikamentöse Therapie -- 8 Demenz, Delir, Depression -- 8.1 Depression -- 8.2 Delir -- 8.3 Prävention vor Therapie -- 9 Schmerzen -- 9.1 Schmerzskalen -- 9.2 Ursachenforschung -- 10 Eine Orientierung fördernde Umgebung -- 10.1 Das Umfeld -- 10.2 Unterstützung der örtlichen Orientierung - Angewandte Biografiearbeit -- 10.3 Farbgebung -- 10.4 Bodenflächen -- 10.5 Licht -- 10.6 Mobiliar -- 10.7 Auffinden erleichtern - Kennzeichnungen -- 10.8 Die Sache mit dem Spiegel -- 10.9 Zeitliche Orientierung -- 10.10 Eine die Orientierung unterstützende Kommunikation -- 10.11 Leben in und mit der Natur -- 10.12 Sicherheit durch technische Assistenzsysteme -- 11 Aktivierung - mehr als Beschäftigung -- 11.1 Beibehalten, was Freude macht -- 11.2 Reminiszenz -- 11.3 Musik und Tanz -- 12 Biografiearbeit -- 13 Ernährung und Mahlzeiten -- 13.1 Der tägliche Einkauf -- 13.2 Probleme beim Essen -- 13.3 Exkurs: Geschirr -- 13.4 Unter- und Mangelernährung - Schluckstörungen -- 14 Kommunikation und Begegnung -- 14.1 Verbale und nonverbale Kommunikation -- 14.2 Validation -- 14.3 Berührung -- 15 Spiritualität -- 15.1 Spiritual Care - Seelsorge - Sorge um die Seele -- 15.2 Spiritual Care konkret - Lebenssinn und Zuversicht geben -- 16 Angehörige/Familie -- 16.1 Die Krankheit der Angehörigen -- 16.2 Eine neue Beziehung aufbauen -- 16.3 Wenn ein Umzug ansteht … -- 16.4 Der lange Abschied … -- 17 Team -- 17.1 Achtsame Kommunikation -- 17.2 Arbeiten unter einer Leitung -- 17.3 Reflexion im Team.; 18 Pflege - Person-centered-care -- 18.1 Tipps für eine gute Pflege -- 18.2 Traumata -- 19 Best-Practice-Beispiele -- 19.1 Silviahemmet in Deutschland - Beispiele guter Praxis -- 19.1.1 Pilotprojekt Malteser und Silviahemmet - 2019/2010 -- 19.2 Silviahemmet und ambulante Angebote -- 19.2.1 MalTa Tagestreff Bottrop - Das kleine Silviahemmet -- 19.2.2 Malteser Tagespflege Duderstadt -- 19.3 Silviahemmet und Altenhilfe -- 19.3.1 St. Anna Stift/Kroge - Wohnbereich Silvia -- 19.3.2 Zertifizierung Papst Leo Haus in Essen -- 19.4 Silviahemmet und Krankenhaus -- 19.4.1 24-Stunden-Management -- 19.4.2 Station Silvia - eine Oase im Krankenhausalltag -- 19.4.3 Station Silvia in Flensburg -- 19.4.4 Demenzsensibles Krankenhaus St. Carolus -- 19.5 Versorgung von Menschen mit Demenz in der Notfallrettung und im Krankentransport -- 19.5.1 Weiterbildung für Rettungsdienst und Krankentransport -- 20 Lessons learned -- 21 Der Blick in die Zukunft -- 21.1 Prävention -- 21.2 Leben, wo ich hingehöre - Smart-City Forst -- 21.3 Zukünftige Forschungsfelder -- Literatur -- Stichwortverzeichnis.
• Sommario/riassunto: Biographical note: Dr. med. Ursula Sottong, Ärztin, ; Gesundheitswissenschaftlerin (MPH), Master in Demenz (MSc/Karolinska Institutet Stockholm), systemische Therapeutin, Silviahemmet-Trainerin und Silvia Doctor (Silvia-Ärztin).; Long description: Die öffentliche Aufmerksamkeit für das Thema Demenz nimmt stetig zu. In verschiedenen Ländern, so auch in Deutschland, sind nationale Strategien entwickelt worden, die die Versorgungsqualität von Menschen mit Demenz verbessern und ihr Umfeld in den Fokus rücken sollen. Die Begleitung und Versorgung von Menschen mit Demenz erfordern neben fachlicher Kompetenz eine große Offenheit und Sensibilität und sind dadurch Gewähr für Lebensqualität und Selbstbestimmung bis zum Lebensende. Die schwedische Stiftung Silviahemmet hat bereits vor 25 Jahren höchstmögliche Lebensqualität für alle Beteiligten zu ihrem Anliegen gemacht, die Versorgung und Begleitung von Menschen mit Demenz und die Entlastung der Angehörigen auf der Grundlage von Palliative Care weiterentwickelt und erfolgreich in Schweden wie darüber hinaus - u. a. in Deutschland - etabliert. Vor diesem Hintergrund liefert das Buch umfassende praxisrelevante medizinische und pflegerische Informationen rund um das Thema Demenz und zeigt anhand von Praxisbeispielen auf, wie die Versorgung von Menschen mit Demenz - ob ambulant oder stationär - gelingen kann.